Mariah Corbell Meleton, LOTR

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

333944 Issued in LA

Practice address

1450 Claiborne Ave
Shreveport, LA 71103-4204

Phone

(318) 813-2970

Fax

(318) 813-2975

NPI assigned

Nov 2, 2022

Last updated

Nov 8, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lsuhsc-S School of Allied Health

  dba LSU Health Shreveport - Allied Health Clinics

  • Multi-Specialty Clinic/Center
  • Shreveport, LA
  • NPI 1144265976

  Occupational Therapist

  NPD
• Pediatric Therapy Partners LLC

  • Speech-Language Pathologist
  • Benton, LA
  • NPI 1477078673
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1667347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1265149934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 CLAIBORNE AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711034204",
            "telephone_number": "318-813-2970",
            "fax_number": "318-813-2975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 CLAIBORNE AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711034204",
            "telephone_number": "318-813-2970",
            "fax_number": "318-813-2975"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4350 Viking Drive",
            "address_2": "STE.1",
            "address_purpose": "LOCATION",
            "city": "Bossier City",
            "state": "LA",
            "postal_code": "71111",
            "country_code": "US",
            "telephone_number": "318-746-1199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MELETON",
        "first_name": "MARIAH",
        "middle_name": "CORBELL",
        "credential": "LOTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-02",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "LA",
            "license": "333944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glynn R Melancon, O.T.
• Tempestt Melancon
• Melanie C Frederick
• Gregory Allen Melder, SA-C
• Claire Marie Melebeck, PT
• Melissa L Lynn MD Apmc
• Dorothy L Mellon, M.D.
• Aja Welch Menard, M.D.
• Angelique J Menard, M.ED, BCBA, LBA
• Matthew Scott Menard, MD

• Pediatric Occupational Therapist in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Pediatric Occupational Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.